| Name: | MONTICELLO COMMUNITY CARE CENTER, LLC |
| Jurisdiction: | MISSISSIPPI |
| Business Type: | Limited Liability Company |
| Status: | Good Standing |
| Effective Date: | 07 Aug 2000 (25 years ago) |
| Business ID: | 690354 |
| ZIP code: | 39157 |
| County: | Madison |
| State of Incorporation: | MISSISSIPPI |
| Principal Office Address: | 762 AVERY BLVD NORTHRIDGELAND, MS 39157 |
| Fictitious names: |
LAWRENCE COUNTY NURSING CENTER |
| Historical names: |
Lawrence County Nursing Center DBA LAWRENCE COUNTY NURSING CENTER |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 645 LAKELAND EAST DRIVE, Suite 101, FLOWOOD, MS 39232 |
| Name | Role | Address |
|---|---|---|
| Medico LLC | Member | 762 Avery Blvd North, Ridgeland, MS 39157 |
| The Elton G Beebe Sr. Irrevocable Grandchildrens Trust | Member | 763 Avery Blvd North, Ridgeland, MS 39157 |
| David Stallard | Member | 762 AVERY BLVD. NORTH, RIDGELAND, MS 39157 |
| Name | Role | Address |
|---|---|---|
| Providence Care LLC | Manager | 762 AVERY BLVD. NORTH, RIDGELAND, MS 39157 |
| Type | Status | Filed Date | Description |
|---|---|---|---|
| Annual Report LLC | Filed | 2025-03-17 | Annual Report For MONTICELLO COMMUNITY CARE CENTER, LLC |
| Fictitious Name Registration | Filed | 2024-10-21 | Fictitious Name Registration For MONTICELLO COMMUNITY CARE CENTER, LLC |
| Annual Report LLC | Filed | 2024-04-09 | Annual Report For MONTICELLO COMMUNITY CARE CENTER, LLC |
| Annual Report LLC | Filed | 2023-04-14 | Annual Report For MONTICELLO COMMUNITY CARE CENTER, LLC |
| Annual Report LLC | Filed | 2022-04-11 | Annual Report For MONTICELLO COMMUNITY CARE CENTER, LLC |
| Annual Report LLC | Filed | 2021-04-07 | Annual Report For MONTICELLO COMMUNITY CARE CENTER, LLC |
| Annual Report LLC | Filed | 2020-03-26 | Annual Report For MONTICELLO COMMUNITY CARE CENTER, LLC |
| Fictitious Name Registration | Filed | 2019-07-12 | Fictitious Name Registration For MONTICELLO COMMUNITY CARE CENTER, LLC |
| Annual Report LLC | Filed | 2019-04-11 | Annual Report For MONTICELLO COMMUNITY CARE CENTER, LLC |
| Annual Report LLC | Filed | 2018-03-16 | Annual Report For MONTICELLO COMMUNITY CARE CENTER, LLC |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 339761686 | 0419400 | 2014-05-07 | 700 JEFFERSON STREET SOUTH, MONTICELLO, MS, 39654 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Citation ID | 01001A |
| Citaton Type | Serious |
| Standard Cited | 19100305 B01 II |
| Issuance Date | 2014-05-27 |
| Current Penalty | 1785.0 |
| Initial Penalty | 2975.0 |
| Final Order | 2014-06-10 |
| Nr Instances | 1 |
| Nr Exposed | 1 |
| Gravity | 5 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.305(b)(1)(ii): Unused openings in boxes, cabinets, or fittings were not effectively closed. (a) Maintenance Room - On or about May 7, 2014 an electrical outlet box had an opening in the top portion of the box that was not covered. |
| Citation ID | 01001B |
| Citaton Type | Serious |
| Standard Cited | 19100305 B02 I |
| Issuance Date | 2014-05-27 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2014-06-10 |
| Nr Instances | 1 |
| Nr Exposed | 1 |
| Gravity | 5 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.305(b)(2)(i): Each outlet box in completed installations did not have a cover, faceplate, or fixture canopy. (a) Maintenance Room - On or about May 7, 2014 an electrical outlet box did not have a faceplate. |
| Inspection Type | Planned |
| Scope | Complete |
| Safety/Health | Safety |
| Close Conference | 2012-03-19 |
| Emphasis | N: SSTARG11 |
| Case Closed | 2012-03-19 |
Date of last update: 18 Mar 2025
Sources: Mississippi Secretary of State
